Click on the appropriate button, print, fill out and bring with you to your eye exam appointment.

We have also provided our HIPPA Policy should you wish to review it or want a copy.

Patient Forms

425.806.7704

24008 Snohomish Woodinville Road SE, Woodinville, WA 98072

Woodinville Family Eyecare

Located inside Woodinville Costco

Our Hours of Operation:

Monday - Friday: 10:00am - 6:00pm

(Closed: New Years Day, Memorial Day, July 4th, Labor Day, Thanksgiving Day, Christmas Day)

Saturday: 9:30am - 5:00pm

Sunday: Closed

Woodinville Family Eyecare

Dr. Kevin Y. Hirano, O.D.

(located inside Costco)

24008 Woodinville Snohomish Rd SE Woodinville, WA 98072

phone:425.806.7704

fax: 425.806.7730

(Please note this mailbox is only checked

once or twice a day. For scheduling an appointment, please consider calling us.)